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J Caring Sci. 2021;10(3): 160-168.
doi: 10.34172/jcs.2021.024
  Abstract View: 15
  PDF Download: 41

Original Article

Care Process in Iranian Nursing Homes: A Grounded Theory Study

Reza Fadayevatan 1 ORCID logo, Majid Rahimi 2* ORCID logo, Heidarali Abedi 3 ORCID logo

1 Department of Gerontology, Iranian Research Center of Aging, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2 Department of Health Education and Promotion, Health Faculty, Isfahan University of Medical Sciences, Isfahan, Iran
3 Department of Nursing, Isfahan Branch, Islamic Azad University, Khorasghan, Iran
* Corresponding Author: Majid Rahimi, Email: majidnh79@gmail.com

Abstract

Introduction: The need and use of long-term care services for older people has increased with their rising population and there is little information about the state of serving in nursing homes. This study aimed to identify the caring process in Iranian nursing homes.

Methods: This qualitative study was conducted in three Iranian nursing homes using grounded theory approach. The participants included 28 individuals (14 older people and 14 caregivers). The data were collected using unstructured interviews up to data saturation, and analyzed by constant comparative method.

Results: Fragmented care emerged as the core variable. The main factor for developing the core variable was ‘experience-based caring’. Other factors included ‘inappropriate structure for care’ as contextual factors in the nursing homes environment and ‘keeping instead of caring’, ‘dismal life’, and ‘up and down of the path’ as strategies and consequences.

Conclusions: The most common type of care was the routine and unplanned one with focusing on physical aspects. To improve a delivery care system for older people in nursing homes, proposing a care plan with focus on an integrated model of care in nursing homes, provision of instructions for treatment, as well as supervision and training caregivers to provide better care are necessary


Keywords: Aging, Nursing homes, Longterm care, Grounded theory, Care

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Submitted: 13 Dec 2019
Accepted: 02 Apr 2020
ePublished: 23 Aug 2021
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